Temporal trends in rates of patient harm resulting from medical care.
Landrigan CP, Parry GJ, Bones CB, Hackbarth AD, Goldmann DA, Sharek PJ. N Engl J Med. 2010;363:2124-2134.
Landrigan CP, Parry GJ, Bones CB, Hackbarth AD, Goldmann DA, Sharek PJ. N Engl J Med. 2010;363:2124-2134.
Interesting study with not-so-surprising results: patient safety isn't improving as quickly as hoped -- even in hospitals that are highly engaged in improvement. Systemic solutions need to be in place to help ensure improvements - rather than only the launch of tools (ie checklists)
This patient safety improvement stuff is tough work, yet its frustrating to hear this.
I see the conclusion: “Further efforts are needed to translate effective safety interventions into routine practice and to monitor health care safety over time” as areas where librarians, informationistas, informaticians, etc can make an impact. There are knowledge access, knowledge sharing, evidence assess and sharing, data access and packaging issues that we in the info professions may be able to affect and improve, if the multidisciplinary teams driving improvement initiatives includes information and knowledge sharing experts (not just IT). It also means (in our sphere of influence) that wikis, SharepointTM, EBM etc are not the be all end all of our contributions -- we need to help others see how culture and work process is affected and made more reliable through effective information and knowledge sharing.
The effort continues ....
This patient safety improvement stuff is tough work, yet its frustrating to hear this.
I see the conclusion: “Further efforts are needed to translate effective safety interventions into routine practice and to monitor health care safety over time” as areas where librarians, informationistas, informaticians, etc can make an impact. There are knowledge access, knowledge sharing, evidence assess and sharing, data access and packaging issues that we in the info professions may be able to affect and improve, if the multidisciplinary teams driving improvement initiatives includes information and knowledge sharing experts (not just IT). It also means (in our sphere of influence) that wikis, SharepointTM, EBM etc are not the be all end all of our contributions -- we need to help others see how culture and work process is affected and made more reliable through effective information and knowledge sharing.
The effort continues ....
